Yamaguchi Rei, Yoshida Takaaki, Nakazato Yoichi, Yoshimoto Yuhei
Department of Neurosurgery, Gunma University Graduate School of Medicine, Gunma.
Neurol Med Chir (Tokyo). 2010;50(8):683-6. doi: 10.2176/nmc.50.683.
A 54-year-old female presented with a very rare intraosseous neurofibroma of the frontal bone manifesting as forehead bulging. Skull radiography showed a radiolucent round lesion. Magnetic resonance imaging showed a mass lesion expanding from the frontal bone diploic layer to the epidural space. Fluorodeoxyglucose positron emission tomography and thallium-201 single photon emission computed tomography findings indicated tumor malignancy. The tumor was resected, and the histological diagnosis was benign intraosseous neurofibroma. Intraosseous neurofibroma usually occurs in the mandible. The origin of the present case may have been a peripheral nerve in the diploic vascular tissue.
一名54岁女性因额骨罕见的骨内神经纤维瘤就诊,表现为前额隆起。颅骨X线片显示一个透光圆形病变。磁共振成像显示一个肿块病变从额骨板障层扩展至硬膜外间隙。氟脱氧葡萄糖正电子发射断层扫描和铊-201单光子发射计算机断层扫描结果提示肿瘤为恶性。肿瘤被切除,组织学诊断为良性骨内神经纤维瘤。骨内神经纤维瘤通常发生在下颌骨。本例的起源可能是板障血管组织中的周围神经。